Related Articles

The article discusses the report by the Government Accountability Office (GAO) which evaluates how private payers manage physician fee reimbursement and what it will mean for Medicare. It highlights a recommendation made by GAO about the Medicare's Part B program which urges the Centers for...

Reports on the increase in Medicare Part B premiums that will be paid by senior citizens in the U.S. in 2006, according to the U.S. Council of Medical Service. Factor that contributed to the increase; Reduction of reimbursements to be expected by physicians in 2006; Possible actions to be taken...

The article reports that physician groups are aggressively lobbying U.S. Congress to stop a controversial 10% cut in Medicare reimbursements, which doctors on Long Island argue would force some to stop taking the government-sponsored health plan. Doctors called the cuts unacceptable and are...

The article reports on a recommendation by the Medicare Payment Advisory Commission that the U.S. Department of Health and Human Services (HHS) develop a Medicare fee-for-service benefit design that includes changes such as an additional charge on supplemental insurance.

The article focuses on the myths relevant to modifier 24 claims in the U.S. It notes that modifier 24 will help ensure to get paid for services performed by physicians following a major procedure while the billing in the global period of the procedure is on process. It contends the concept that...

Focuses on the increase in popularity of pay-for-performance among private insurers and Medicare in the United States. Total compensation of primary care physician; Reimbursement formula of Medicare; Bill introduced by the House Ways and Means health subcommittee to include voluntary...

The article presents an analysis of the changes to the Medicare physician fee schedule proposed by the U.S. Centers for Medicare and Medicaid Services (CMS). An overview of the changes in the Medicare payment policies is provided which include the Medicare physician reimbursement, electronic...

The article focuses on circumstances that modifier 23 (Unusual anesthesia) can be applied in the Medicare Part B. It mentions that modifier 23 can be justified to procedures that happen outside the operating room when the physician furnishes enough documentation of medical necessity. It also...